Federal law generally makes people with kidney failure eligible for Medicare coverage regardless of age or disability status. The campaign said, "Since 2012, UHW has wasted $77.7 million of its members dues money funding 48 failed ballot initiatives across the country many of which put patients and their members at risk. Currently, California relies primarily on federal regulations as the basis for its licensing program. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. Here's a breakdown of each proposition and what it entails. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. If donors were properly compensated for their considerable sacrifice, more people would likely be willing to donate reducing the need for dialysisand reducing the need for this type of ballot initiative. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. Like last time, this latest proposition will again jeopardize access to care, worsen our health care provider shortage and increase health care costs for all Californians. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. Even though abortion is legal in California, Prop. The clinic must give a patient this list when the patient is starting treatment, each year after that, or any time a patient (or potential patient) asks for it. } Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. SAN FRANCISCO (KCBS) One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. Nov. 3, 2022 5:16 PM PT. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. Residents can register to vote by visiting this website. The clinic may request a hearing if it disagrees with the penalty. This material may not be published, broadcast, rewritten, or redistributed. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. Signatures were due on April 27, 2022. No program or agency should be specifically funded by fines and fees revenue. [1] Legislative Analysts Office, Proposition 23, November 3, 2020, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020. In California, the number of signatures required for an initiated state statute is equal to 5 percent of the votes cast in the preceding gubernatorial election. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. 31 Flavored Tobacco: no. These propositions deal with abortion, sports betting and environmental initiatives. .split-cols-bm { Doctors, nurses, and patients urge you to vote NO on Prop 29. Read more. The proposed initiative, if. Some people qualify for both Medicare and Medi-Cal. A "yes" vote supported this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 kfairbanks@bcfpublicaffairs.com Once again California voters reject shameful attack on dialysis patients by one. The requirements to get initiated state statutes certified for the 2022 ballot: Signatures are first filed with local election officials, who determine the total number of signatures submitted. emphasis on political coverage within a state; and. David Miller, research director of SEIU-UHW, said, "Theres just so much improvement that can be made, and theres plenty of resources in the industry to make those improvements. What would this ballot initiative have required of dialysis clinics? Prop. 29.[8]. The treatment involves pumping a solution into the abdomen. "[18] Wherley, a spokesperson for the SEIU-UHW West, contended that dialysis workers "want these [initiative] reforms regardless of what happens with their union efforts. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Supporters also say that greater financial disclosure is required so that researchers and the public can better assess the impact of physician ownership of clinics. SAN FRANCISCO (KGO) -- For the third time in three straight elections, California voters rejected a ballot measure that would have mandated major changes to the operations of dialysis clinics that provide life-saving care to 80,000 people with kidney failure. The measure has a number of needless provisions, such as requiring infections to be reported to the state, though these data are being reported to the federal government now, and prohibiting dialysis centers from discriminating due to payer source, which even the proponents say is not a problem now. If a clinic plans to close or substantially reduce its services, Proposition 29 requires the clinic or its owner or operator to notify CDPH in writing and obtain CDPHs written consent. columns: 2; } Prop. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. font-weight:bold; Quieres leer este artculo en espaol? Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. margin-bottom: 10px; California's Proposition 29 on the state's November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of relevant experience to be on-site during treatment at outpatient kidney dialysis clinics. Vote NO on Prop 29. The machine filters the blood and adds a solution to help remove waste. ), First published on May 13, 2012 / 4:53 PM. Dialysis copies what healthy kidneys do. Take a look at the latest stories and videos about the 2022 Midterm Elections here. How often a person needs hemodialysis treatment can vary. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. The communities that would experience the greatest detriment from this are the elderly, who make up the majority of dialysis patients, as well as Black people and Latinx people, who are 3 times and 1.3 times, respectively, more likely than white Americans to have chronic kidney disease. Sacramento Today, the No on 29 coalition launched a new ad featuring doctors and patients urging the SEIU-UHW union to stop harming dialysis patients by funding dangerous ballot measures that put dialysis patient lives at risk. 5737 Mesmer Ave. Stop yet another dangerous dialysis proposition. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? A "no" vote opposed this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). In 2020, Gov. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. nurse practitioner or physician assistant be on site during treatment. Higher costs could result in clinics being forced to close, which would reduce access to dialysis care or cause higher costs to be passed along to patients. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. July 26, 2022 mirrormmg. A single treatment lasts about four hours and happens about three times per week. width: 100%; [32], The initiative campaign submitted 1,018,730 raw signatures. U.S. Congress | SAN FRANCISCO (KCBS) - One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. 2023 CBS Broadcasting Inc. All Rights Reserved. Specifically, the measure would require that clinics: Prop. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. Haz clic aqu, Mongols gang member sentenced to 10 years in killing of Pomona officer, Polar bear kills woman, boy in remote Alaska village, Man gets 30 years in prison in road rage killing of teen Astros fan. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. Increased state and local government costs likely in the tens of millions of dollars annually. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. A NO vote on this measure means: Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. The California state government, the states two public university systems, and many local governments in California provide group health insurance coverage for their current workers, eligible retired workers, and their families. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. This amount is less than one-half of 1percent of the states total General Fund spending. Life is stressful. Proposition 29 purports to improve patient care. 29 would increase the states need for more medical professionals. For the Third Time in a Row, Voters Soundly Reject Prop 29 the Dangerous Dialysis Proposition, In new ad, doctors and patients urge SEIU-UHW to stop putting dialysis patients lives at risk with ballot measure extortion, In Case You Missed It: Enough with this foolish extortion says LA Times columnist George Skelton. Kidney disease happens when a persons kidneys do not work properly. Click here to contact us for media inquiries, and please donate here to support our continued expansion. According to a 2012 report by the California Legislative Analyst's Office, Proposition 29 would generate approximately $735 million a year in new tax revenues. All Rights Reserved. Prop. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. Requires clinics to report dialysis-related infection data to state. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. If CDPH approves the exception, the clinic can meet the requirement through telehealth. Were still careening toward climate disaster, Column: The heart that Angela Bassett brings to Wakanda Forever transcends the genre, Editorial: Reckoning with UCSFs dark history of unethical medical experiments on inmates. It's also supported by labor unions, local art/music/education groups, and the California . Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. } Defining the Future of California Sports Betting: Prop 26 and Prop 27 . 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. Group and Individual Health Insurance. Current and valid photo identification provided by a third party in the ordinary course of business that includes the name and photograph of the individual presenting it. It allows CDPH to base its decision on such information as the clinics financial resources and the clinics plan for making sure patients have uninterrupted dialysis care. Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 kfairbanks@bcfpublicaffairs.com Once again California voters reject shameful attack on dialysis patients by one Counties will begin mailing vote-by-mail ballots. Read more endorsements at: latimes.com/endorsements. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Stop yet another dangerous dialysis proposition. A clinic may dispute CDPHs decision by requesting a hearing. Educational. .sbtotaltotal { Requires clinics to: disclose physicians ownership interests; report infection data. .sbtotalheader { requiring clinics to have at least one physician, nurse practitioner, or physician assistant - with at least six months of experience with end-stage renal disease care - onsite during patient treatments; requiring clinics to report dialysis-related infections to the California Department of Public Health (CDPH); requiring clinics to provide patients with a list of physicians with an ownership interest of 5% or more in the clinic; requiring clinics to provide the CDPH with a list of persons with ownership interest of 5% or more in the clinic; and. State legislature | [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. Opponents of Proposition D argue that it would make our housing crisis worse by increasing the income qualifications for "affordable housing," meaning it will cost more to rent or own "affordable" units than market rate a one bedroom apartment costing nearly $4,000 a month would be considered "affordable housing", whereas today's market rate is $3,095 per month. Opponents claim Prop. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. State and local courts | [2], Prop. CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. California's current cigarette tax is 87 cents per pack. Contact Information. Proposition 29 would have enacted staffing requirements, reporting requirements, ownership disclosure, and closing requirements for chronic dialysis clinics, including:[1], The ballot initiative would have also prohibited clinics from refusing to care for a patient based on the patient's form of payment, whether the patient was an individual payer, the patient's health insurer, Medi-Cal, Medicaid, or Medicare. All rights reserved. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. However, an owner or operator may be less likely to keep an individual clinic open over the longer term if that clinic is likely to keep operating at a loss. Text of measure Ballot title The official ballot title was as follows: [5] The SEUI-UHW says the 9-1-1 service calls from dialysis centers suggest the need for more staff, though they offer no data that the volume is higher than might be expected given that dialysis patients often have other serious health conditions. This field is for validation purposes and should be left unchanged. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Patients need about three treatments per week, and missing a treatment can result in serious health complications. By Vittorio Nastasi and Adrian Moore December 9, 2022. California Proposition 29, Dialysis Clinic Requirements Initiative (2022) California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. 29 is being led by Californians for Kidney Dialysis Patient Protection. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. Proposition 29 Could Increase Health Care Costs for State and Local Governments. [10], The following is the argument in opposition to Proposition 29 found in the Official Voter Information Guide:[11], The PAC Californians for Kidney Dialysis Patient Protection was registered to support the ballot initiative. The PAC raised over $7.9 million from the SEIU-UHW West. .split-cols-bm { Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. Kidney Failure. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. Ballot measures, Who represents me? Instead, this measure would increase the cost of care to the detriment of patients. font-size:1.0em; https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst, specialized physician, such as a nephrologist, physician assistant with at least six months of experience with end-stage renal disease. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. The ban is delayed until voters make a decision in November. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . [8] Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://www.kidney-international.org/article/S0085-2538(21)00943-1/fulltext, SPUR Urban Center, 654 Mission Street, San Francisco, CA 94105-4015 | (415) 781-8726 | info@spur.org, 2023 SPUR Privacy Policy 501(C)(3) Non-Profit Tax Identification: 94-1498232, Protect the Lives of Dialysis Patients Act, a member-supported nonprofit organization. The word count for the ballot summary is 84. Prop. KCBS Interviews Ray Durazo and Tom Del Beccaro: Ray Durazo is the former American Heart Association Western States Affiliate Board President and currently serves as California Advocacy Task Force Chair. This November is no different. Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. Another potential issue for Prop. 8 in 2018 and Prop. Prop. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. The California Republican Party is against the measure. This form of dialysis removes blood from the body, filters it through a machine to remove waste and extra fluid, then returns it to the body. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. Opponents claim that it may force some clinics to close. Improved transparency and accessibility of information can help patients make informed decisions for their care. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. Other requirements of the proposition would not significantly increase clinic costs. Run/Walk for WeSPARK 5k/10k . Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. Wage hikes for some workers, not others. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets,. On November 3, 2020, 58.63% of voters in California voted in favor of Prop 22 and the law went into effect in mid-December of 2020. . Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. All Rights Reserved. [35], To vote in California, an individual must be a U.S. citizen and California resident. "[16], Jim Miller, a columnist for The Sacramento Bee, and Melanie Mason, a state politics journalist for the Los Angeles Times, both stated that the ballot initiative would also provide the SEIU-UHW West with leverage over legislation to enact new regulations on dialysis clinics in the California State Legislature. July 26, 2022 . If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. 29. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. CalMatters reporter Ana Ibarra explains Prop. However, some voters may be asked to show a form of identification when voting if they are voting for the first time after registering to vote by mail and did not provide a driver license number, California identification number, or the last four digits of their social security number.[40][41]. CDPH also certifies clinics on behalf of the federal government. Tobacco, What's on my ballot? [6] Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, March 23, 2021. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst. By Vittorio Nastasi and Austill Stuart December 12, 2022. The physician continues to oversee the patients care. Prop 22 california 2020 pros and cons. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). Signatures need to be certified at least 131 days before the general election. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. Implement and administer the proposition would not have the authority to make to. Shut down dialysis clinics, including adopting regulations within one year after the law takes.... Count for the ballot system by Prop 29 backers and said the measure would increase states! On may 13, 2012 / 4:53 PM operators have multiple clinics can use higher-earning. Kidney patients Deserve Better campaign in support of proposition 29 failed after nearly 70 % of voters rejecting it and... News 740AM and 106.9FM dangerous & Costly dialysis proposition other key information about the 2022 Midterm Elections.... Needs hemodialysis treatment can vary pay for a dialysis treatment no program agency! Issued ballot language for the initiative on October 29, Side-by-Side, July 2022, https: //noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf significantly! 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Only in Medi-Cal, the measure would require that clinics: Prop Kidney! With 59.9 % of the proposition, including on-site medical staffing requirement in Prop, say this is just effort. Plus, Kidney dialysis patient Protection led the Kidney patients Deserve Better campaign in of... Analysts Office, proposition 23, November 3, 2020, https: //lao.ca.gov/BallotAnalysis/Proposition? number=23 &....